{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T16:58:55Z","timestamp":1780505935622,"version":"3.54.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T00:00:00Z","timestamp":1496275200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>\n                    Despite expansion of the New Delhi metallo-\u03b2-lactamase-1 (NDM-1) worldwide, the incident of outbreaks regarding Egypt is still uncommon. In this survey, we denounce the emanation of multidrug-resistant NDM-1-producing\n                    <jats:italic toggle=\"yes\">Klebsiella pneumoniae<\/jats:italic>\n                    in Egypt. We have reclaimed 46 unrepeatable carbapenem-resistant\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    isolates at El-demerdash hospital, Ain Shams University, Cairo, Egypt. All the isolates showed a decreased sensitivity to imipenem and meropenem via the disc diffusion method. Among the isolates, 10 were proven as NDM-1 producers by utilizing the phenotypic methods (modified Hodge test and EDTA synergistic test) and specific PCR detection of NDM-1 encoding gene,\n                    <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                    <jats:sub>NDM-1<\/jats:sub>\n                    . The isolates hosting the\n                    <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                    <jats:sub>NDM-1<\/jats:sub>\n                    showed an elevated resistance to several classes of \u03b2-lactam and non \u03b2-lactam antibiotics. All\n                    <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                    <jats:sub>NDM-1<\/jats:sub>\n                    -harboring isolates have showed positivity for one or more other plasmid-mediated\n                    <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                    genes; in addition, the isolates carried class 1 integron. Enterobacterial repetitive intergenic consensus (ERIC)-PCR results revealed that majority of the isolates, including the NDM-1 producers, are unrelated to each other. This highlights the danger of horizontal transfer of plasmids encoding for such carbapenemases, including NDM-1, between the isolates of\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    . In summary, this study has confirmed the incidence of\n                    <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                    <jats:sub>NDM-1<\/jats:sub>\n                    together with other\n                    <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                    genes among the\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    isolates in Egypt. Control and prevention of infection can be achieved through early detection of resistance genes among bacterial isolates; through limiting the dispersal of these organisms.\n                  <\/jats:p>","DOI":"10.1089\/mdr.2016.0003","type":"journal-article","created":{"date-parts":[[2016,8,30]],"date-time":"2016-08-30T14:09:12Z","timestamp":1472566152000},"page":"480-487","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Emergence of Multidrug-Resistant New Delhi Metallo-\u03b2-Lactamase-1-Producing\n                    <i>Klebsiella pneumoniae<\/i>\n                    in Egypt"],"prefix":"10.1177","volume":"23","author":[{"given":"Mahmoud A.F.","family":"Khalil","sequence":"first","affiliation":[{"name":"Misr University for Science and Technology","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelaziz","family":"Elgaml","sequence":"additional","affiliation":[{"name":"Mansoura University","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"El-Mowafy","sequence":"additional","affiliation":[{"name":"Mansoura University","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","first-page":"e0119571","DOI":"10.1371\/journal.pone.0119571","article-title":"Outbreak of multidrug resistant NDM-1 producing Klebsiella pneumonia from a Neonatal Unit in Shandong Province, China","volume":"10","author":"Jin Y.","year":"2015","unstructured":"Jin Y., , Shao C., , Li J., , Fan H., , Bai Y., , and Wang Y.. 2015. Outbreak of multidrug resistant NDM-1 producing Klebsiella pneumonia from a Neonatal Unit in Shandong Province, China. PLoS One, 10:e0119571.","journal-title":"PLoS One"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0121668"},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","first-page":"5016","DOI":"10.1128\/AAC.00878-12","article-title":"Outbreak of Klebsiella pneumoniae carbapenemase-2 producing K. pneumoniae sequence type 11 in Taiwan in 2011","volume":"56","author":"Lee C.M.","year":"2012","unstructured":"Lee C.M., , Liao C.H., , Lee W.S., , Liu Y.C., , Mu J.J., , Lee M.C., , and Hsueh P.R.. 2012. Outbreak of Klebsiella pneumoniae carbapenemase-2 producing K. pneumoniae sequence type 11 in Taiwan in 2011. Antimicrob. Agents Chemother., 56:5016\u20135022.","journal-title":"Antimicrob. 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